Transcript Final Disposal of Pharmaceuticals

Household Pharmaceutical
Waste Reduction
Eva Dale
Washington Citizens for
Resource Conservation
Useful Information from
Take Back Programs
• Which medicines most become waste
• Why these medicines become waste
• This may differ by population/location
Washington Pilot Sampling
Group Health
Cooperative Sites
Only
Gross sampling
weight = 176 lbs
Looking Upstream:
Reducing Waste and Ecotoxicity
of Pharmaceuticals
• Think tank developing
strategies in Washington state
• Various stakeholders benefit
from the different strategies
• Use strategies to meet
additional healthcare needs
Examples of Strategies
Examining dispensing practices and drug design
1. Starter pack system
•
•
Insurance providers promote
Target specific therapies
2. Developing ecotox. rating
•
•
•
Ecotoxicity testing
Influence formularies
Encourage MDs to use least toxic
3. Individualized dosage
•
Body weight, pharmacogenetics
Risk Rating System
• Persistence, bioaccumulation, toxicity (PBT) in
determining risk
• “Toxicity” testing beyond LD50
• Stockholm County Council catalogue
• Practical application of risk
– Risk to Benefit Ratio
– Green Certification Programs
Contact Us,
Input Is Welcomed!
Eva Dale
Washington Citizens for Resource
Conservation
[email protected]
(206) 441-1790